Care Home: 23 Serpentine Road

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What the care home does well This is a service that does many things well. The needs of people are assessed before they move in so they know that their needs can be met there. There is a clear and consistent care planning system in place so staff know how to meet people`s needs. People told us they know how to make a complaint and that staff listen to them. People get the opportunity to take part in activities that they enjoy. People are supported to keep in contact with family and friends so they maintain relationships that are important to them. People are supported to make decisions about their life and to maintain and develop their independence. People are involved and their views are sought on recruiting suitable staff. The home is decorated and maintained to a good standard and is homely and comfortable for people to live in. Health and safety is well managed to ensure people`s safety. What has improved since the last inspection? The two good practice recommendations made at the last inspection have been met. Systems in place for water temperature monitoring have been improved so information is clear and easy to understand. Peoples involvement in staff recruitment is now documented demonstrating their views are listened to and acted upon. Staff have continued to receive training and development so they can meet peoples needs well. Painting and decorating takes place on a rolling programme so the home is well maintained. What the care home could do better: This home does many things well. We made no requirements or good practice recommendations during this visit. Key inspection report Care homes for adults (18-65 years) Name: Address: 23 Serpentine Road Serpentine Road (23) Selly Park Birmingham West Midlands B29 7HU     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Donna Ahern     Date: 1 4 0 1 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: 23 Serpentine Road Serpentine Road (23) Selly Park Birmingham West Midlands B29 7HU 01214721722 F/P01214721722 nazliry@autismwestmidlands.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: autism. west midlands care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 5 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 5 Date of last inspection Brief description of the care home The home is a detached residential property situated within the Selly Park suburb of Birmingham. It is close to the Bristol Road, which provides public transport to access shops, parks, pubs, restaurants and places of worship. The main area of the home provides accommodation for four people with Autistic Spectrum Disorders and Aspergers Syndrome and a attached self-contained flat for a further person who enjoys a more independent lifestyle. The main area of the house has four single bedrooms and a staff sleep-in room, which includes WHB and shower. The communal areas consist of a lounge, dining room, large kitchen and extensive garden, all of which the person who is living in the flat may utilise. The flat has been established from the Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 5 Brief description of the care home converted garage and includes lounge, kitchen, bathroom, bedroom and a small laundry. The garden is well laid out and maintained to a high standard and includes a decked area leading directly from the house and garden furniture. The front garden has been converted to off road parking for up to six vehicles. The fees charged range from one thousand two hundred pounds per week based on the assessed needs of individuals. The fees do not include toiletries, taxis, magazines and papers, complimentary therapies, dry cleaning, clothing, theatre and concert tickets. The CQC inspection report is available in the home for those who wish to read it. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The visit to the home was undertaken by one inspector over one day. We, the commission were assisted throughout the day by the manager. The home did not know that we were visiting that day. There were four people living there. Information was gathered from speaking to two people who live at the home and observing care and support. Three staff were spoken to. Two peoples care was case tracked. Case tracking involves discovering individual experiences of living at the home by meeting or observing them, discussing their care with staff, looking at medication and care files and reviewing areas of the home relevant to these people, in order to focus on outcomes. Case tracking helps us to understand the experiences of people who use the service. Staff files and health and safety records were also looked at. Before our visit we reviewed any notifications received about the home, these are reports about things that have happened in the home that they must tell us about. We were sent an Annual Quality Assurance Assessment (AQAA) by the home. This tells us about what the home think they are doing well and where they need to improve. It also gives us some Care Homes for Adults (18-65 years) Page 6 of 27 numerical information about the staff and people who live at the home. Prior to our visit we sent out surveys to the four people who live at the home and six to staff. At the time of writing this report we had received four completed surveys from people who live at the home. We have included comments from the completed surveys in the report. Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. Care Homes for Adults (18-65 years) Page 8 of 27 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the information they need about the home and their needs are assessed prior to admission so they know they can be met there. Evidence: At the time of the visit four people were living at the home. We saw that a detailed pre assessment and referral procedure is established. The manager told us she was in the process of introducing a new person to the home and they had been for visits to the home including overnight visits. The manager was in the process of completing assessments on the person and their care plan was being developed so that upon admission staff have the information they need to meet the persons needs. The admission process had included spending time with the other people living in the home and gaining their views about the person moving to ensure their needs are compatible with the current people living there. One of the people told us I have met X who is moving in they get on well with X who lives here. The statement of purpose and service user guide provide people with the information they need to know and have been produced in an easy read style so they are easier for people living there to understand. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive support to make choices and decisions about their day to day lives. Staff have detailed information so they know how to support people well. Evidence: We looked at two peoples care plans. Care plans explain what each person needs are and the care and support they require to make sure these needs are met. The two plans looked at gave detailed information about how staff should support the person in order to meet their individual needs in relation to personal care, health care, social activities and personal development. Care plans recorded details of peoples cultural needs and how these needs will be met. There was evidence that when needs change the plan was updated so people received consistent support from staff. The care plans include communication passports which provided staff with detailed information about how to ensure individuals are supported to express their views and opinions. A number of risk assessments were looked at. These detail the support people need to be kept safe while still being enabled to be independent. These Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: included assessments about community access, smoking, front door keys and use of peoples bedrooms. These had been kept under review so that the control factors in place remain relevant and any unnecessary restrictions are removed . We spoke to staff during the visit who were able to demonstrate a good understanding of peoples needs and of the risk assessments in place and how they should support people to minimise any potential risks to their safety. Reviews are held with the person and other relevant people so their care plans are kept under review and to ensure the home continues to meet their needs. Daily records were detailed which enables the staff to track peoples care and ensure their care plan is being followed. People were fully encouraged in talking, planning and making decisions about their day- to- day lives. We saw this by observing practice on the day and from reading peoples care records. One of the people was planning a birthday party and staff supported them to plan the food they wanted and to make a shopping list. Regular group meetings involving people living at the home take place and minutes of these were available and indicated that action is taken on issues raised. People take turns to attend part of the staff meeting so information can be shared about the running of the home. Weekly key worker meetings take place and the outcome of these and decisions made are recorded indicating peoples full involvement in their care. People told us I get help to be more independent and I am given a chance to make choices and I am well cared for. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to make choices about their lifestyles, to develop their independence and live fulfilling lives. Evidence: We looked at care plans, daily records and spoke to people to establish that they are leading meaningful lifestyles. We saw that assessments are completed to see what people can do and where they need support. People take part in a range of activities both in the house and the local community. There is an activity planner on peoples care plan which includes both leisure and activities to develop their independent living skills. We saw that people are supported to help with food preparation, lay the table and take part in household and domestic tasks such as cleaning their bedroom and doing their laundry. People also take part in drama, swimming, bowling, shopping, pubs, meals out, church, recycling, attending colleges and golf. One of the people does voluntary work at a local hospital inputting data information. The home has the Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: use of a vehicle and people are also supported to use public transport and they all have a bus pass. On the day of the visit due to very poor weather conditions people were not able to pursue their usual activities. People took part in household tasks and some people spent time in their own room. Later in the day they went out to a local pub for a drink and to pick some fresh ingredients for the evening meal which was a curry. People told us I like doing jobs in the house I get support to go to college and I am able to go out and access the community. We saw people freely access all areas of the home. There was no evidence of rigid routines. We saw people get up, go out and eat meals at different times. We saw on peoples care files that they are supported to maintain links with family and friends through visits and phone calls so that important relationships are maintained. People told us I ring my family when I want to I just rang them. Staff told us that significant support is given to people so relationships with people important to them is maintained. All contact is recorded and also details of any important events such as family birthdays. The AQAA told us that further support is provided by Friends of Poplars group consisting of relatives and friends who meet to discuss issues relating to the home that are important to them. We saw that a range of tinned, frozen and fresh food was available. Menus looked at identified a variety of meals. Staff said menus are planned with peoples involvement and these were in the process of being updated. We saw records of tests in place for food and storage safety checks, which mean food is stored and prepared in a hygienic and safe manner. We joined people for lunch which was soup, sandwiches and fresh fruit. The mealtime was relaxed and a sociable time and we saw that staff responded to peoples needs appropriately. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements in place ensure peoples health and personal care needs are met. Evidence: Care plans had detailed information about how much support people require to meet their personal care and health needs.We saw people were wearing clothing appropriate to their age, gender, culture and the time of year. We saw that other professionals are involved with peoples care and details of any appointments and the outcome were detailed on their care plan. This should ensure their health care needs are monitored and any follow up action is taken. A tracking system is in place which should ensure that health needs are monitored and followed up. Relapse prevention plans are in place for some people so staff know what to look for and how to support people promptly should there be deterioration in their wellbeing. Behaviour management plans were in place and tell staff have to support people safely and ensure their wellbeing. Medication is stored in a locked cabinet in a secure location. The cupboard was found to be tidy and well ordered. The medication administration records (MAR) had been Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: signed for which indicates that people have received their medication as required. Copies of prescriptions are retained so staff can check the right medication has been received from the chemist. Staff signatures and initials used to identify who had given medication had been kept up to date so an audit trail of medication administration is in place. Staff training records indicated that staff have received training so they have the skills and knowledge to support people with their medication. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are arrangements in place to listen to peoples views. Systems in place should ensure people are safeguarded from the risk of harm. Evidence: The complaints procedure was in the statement of purpose. A summary version in an easy read format was on display on the notice board and we saw a copy on peoples care plans so they would know what to do if they had a concern. It was really positive that the home had completed an awareness survey with each of the people living there to check out if people know when and who to get help from if there is a concern. People were asked What do you do if you are not happy with the way you are treated and give examples of things you need to report. People told us If I am not happy about something I can go to any of the staff. We saw from the complaints log that the home have not received any complaints about the service provided there. Since our last visit we have not received any complaints made directly to us. We saw that safeguarding and whistle blowing procedures were available for staff to refer to. Staff who we spoke to demonstrated a general understanding of their duty to safeguard people and how to report concerns on to the manager or senior managers. We looked at training records to determine that training in safeguarding vulnerable adults had been provided.The Manager had completed Mental Capacity and Care Homes for Adults (18-65 years) Page 18 of 27 Evidence: Deprivation Of Liberty Safeguards training so that she has the knowledge of this important legislation and the impact it has for people living there. Money held for individuals is stored securely. Money held cross-referenced with the amount stated on peoples financial records and receipts are kept of all expenditure ensuring peoples money is handled safely. Care Homes for Adults (18-65 years) Page 19 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is safe, comfortable, homely and meets their needs. Evidence: The home is situated in a residential area in Selly Park. There are a range of shops, public transport links and leisure facilities close by. This is important to the people who live there as they make regular use of these amenities. The home is a large detached property set out over two floors. There is a large kitchen, dining room and lounge. One of the people has a self contained flat which is accessed of the main house. There is a lovely rear garden that has a decked area. The home is non smoking, a covered area in the garden is provided for people who wish to smoke. Each person has their own bedroom. The bedrooms we saw were decorated according to individual tastes and interests and were personalised. All bedrooms are on the first floor. There is no lift so the home would not be suitable for a person with mobility problems. The home was clean , fresh and organised indicating good systems are in place for maintaining a hygienic environment. Staff and people living there are responsible for all domestic tasks and rotas are in place so tasks are shared. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements are in place to ensure people are supported by an effective staff team. Evidence: The home has at least two staff on duty during the day staffing levels depend on what activities are taking place. There was one full time post vacant. Appointment to this had been put on hold whilst there was a vacancy at the home. People told us Staff are easy to talk to . Interactions between people living there and staff were entirely positive. Staff spoke respectfully to people and spent time sitting and talking to people. Staff demonstrated a very good understanding of peoples needs. They told us that they get the support and training they need to do their job . Staff told us there is enough staff on duty to meet peoples needs. The staff rota seen reflected what we were told and indicated that staffing levels are adequate to meet the needs of people. Eight of the twelve staff have completed a National Vocational Qualification (NVQ) level 2 in care. This should ensure that staff have the knowledge and skills to support people individually and collectively. We saw certificates of training on staff files covering various topics such as health and safety, first aid ,studio three (recognised training for supporting people with challenging behaviour), fire and food hygiene. Staff receive specific training in autism so they can meet the specific needs of the people living there. We saw individual training records in place detailing the Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: date the training was completed and when up dates were due. This should ensure that training is well managed and training needs are planned for. We saw that an induction package is in place. This was seen to be comprehensive and should ensure that staff are knowledgeable about their role. Staff told us they have regular supervision with the manager and are well supported in their role. We looked at two staff files and these contained all the required information. We saw evidence that Criminal Records Bureau (CRB) checks had been completed ensuring only staff suitable to work with vulnerable people are employed. The AQAA told us Service users are involved in the recruitment process they are involved in writing their own recruitment procedure in their handbook and developing a form for their use of actively vetting prospective candidates. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements in place ensure that the health, wellbeing and safety of people is promoted. Evidence: The manager has a number of years experience and completes training courses to keep her knowledge up to date. This should ensure that she has the knowledge to support staff and ensure the home is run well for the people living there. The manager is supported by a senior worker which ensures there is always a manager on duty to support the staff team. The manager was open and welcomed the inspection process. Information we required was provided promptly. Records were very well maintained. Policies and procedures had been kept under review and staff had signed to say they have read them. The manager has developed her own quality assurance systems which have become an excellent tool for ensuring the views of people are sought when developing the service. Areas covered include audits of accidents and incidents, complaints and compliments, CQC reports, feedback on people about the activities they do, feedback Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: from relatives and other professionals. All this information is analysed and peoples views play a significant part. We looked at the reports of visits completed by external senior managers that should take place monthly where people should be spoken with to ensure the home is being well run. We saw that these visits had not always been completed as required although improvements had been made in recent months. In preparation for our visit the manager completed an Annual Quality Assurance Assessment (AQAA) which identifies the strengths of the home and areas for improvement. This was completed to a very good standard and was returned to us within the timescales given. The content of the AQAA was consistent with our findings during the visit. The previous inspection raised two good practice recommendations. These were to improve the recording of water temperature tests and to give consideration to recording peoples feedback comments when they are involved in the staff recruitment process. We saw that both of these recommendations had been actioned. Comprehensive health and safety procedures are in place. We looked at some of the safety checks and saw that gas, electric and fire checks have been completed so that a safe environment is provided for people to live in. Regular fire drills take place so people know what to do if the alarm is activated. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!